| Foundations Counseling Center Llc | |
|
619 River St Ste F Belleville WI 53508-9117 | |
| (608) 424-9100 | |
| (608) 424-9099 |
| Full Name | Foundations Counseling Center Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 619 River St Ste F, Belleville, Wisconsin |
| Authorized Official Name and Position | Alisa Colleen Kelly-martina (EXECUTIVE CO-DIRECTOR) |
| Authorized Official Contact | 6084249100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Counseling Center Llc 619 River St Ste F Belleville WI 53508-9117 Ph: (608) 424-9100 | Foundations Counseling Center Llc 619 River St Ste F Belleville WI 53508-9117 Ph: (608) 424-9100 |
| NPI Number | 1659579928 |
|---|---|
| Provider Enumeration Date | 07/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659579928 | NPI | - | NPPES |
| 42234600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2508 (Wisconsin) | Primary |